Registration Form – Online Social Programs from the Ukrainian Canadian Care Centre
All programming is completely FREE for older adults/seniors, are open to ALL in any location, run in ENGLISH, online over ZOOM, and at TORONTO TIME
Sign in to Google to save your progress. Learn more
I acknowledge that by providing my email I am opting in to receive communications from the Ukrainian Canadian Care Centre regarding these online programs and other opportunities (If at any time you wish to unsubscribe, please send us an email stating that you’d like to be removed from the list): *
We will be sharing one social calendar per month through email. Would you also like a paper copy mailed to you each month to keep on your desk/fridge? *
First Name *
Last Name *
Email Address *
Preferred Phone Number *
Mailing Address (unit+number, street) *
City *
Province *
Postal Code *
Which programs are you interested in? (Check all that apply)
How did you hear about us?
Thank you for registering! Our weekly newsletter and the monthly calendar is sent out through Mailchimp from name "Ukrainian Canadian Care Centre" email fundraising@stdemetrius.ca so check your junk mail if you don't see any details from us
Submit
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy